Provider Demographics
NPI:1285077867
Name:SOLACE MEDICAL, LLC
Entity type:Organization
Organization Name:SOLACE MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RHYS
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-345-7899
Mailing Address - Street 1:20436 ROUTE 19
Mailing Address - Street 2:SUITE 620-255
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-7541
Mailing Address - Country:US
Mailing Address - Phone:412-345-7899
Mailing Address - Fax:888-245-0250
Practice Address - Street 1:337 HALDEMAN DR
Practice Address - Street 2:
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-5632
Practice Address - Country:US
Practice Address - Phone:412-345-7899
Practice Address - Fax:888-245-0250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-12
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6000007781332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies